OUTLINE Introduction Causes Modes of transmission Modalities of spread Community spread Intervention approaches (pillars of MOH)
INTRODUCTION Mpox previously known as monkey pox is a viral illness caused by monkey pox virus (MPXV) species of the germs orthopoxvirus . It is caused by MPXV The virus is an enveloped double stranded DNA of the orthopoxvirus genus in the P oxviridae family Other members of the family include V ariola , c owpox, vaccinia , camelpox , buffalopox , horsepox , feline Cowpox among others
Classification of Orthopoxvirus Realm : Varidnaviria Kingdom : Bamfordvirae Phylum : Nucleocytoviricota Class : Pokkesviricetes Order : Chitovirales Family : Poxviridae Subfamily : Chordopoxvirinae Genus : Orthopoxvirus
There are two clades of viruses Clade I ( with suclades 1a and 1b) Clade II (with subclade IIa and IIb )
Transmission Mpox spreads from person to person mainly through; Close contact with an infected person Skin to skin , mouth to mouth , mouth to skin , face to face for example breathing or talking close to one another which can generate infectious respiratory particles . Multiple sexual partners Contact with contaminated objects ; clothing, needle injuries
Transmission Passage from mother to child during birth Animal to human transmission; this occurs through contact and eating the meat of animals like monkeys and squirrels.
Signs and symptoms The signs and symptoms given are for the first 11 cases and 52 suspects Rash Fever Headache Fatigue These vary with age and sex
High risk districts Kasese Wakiso Nakasongola Treatment is majorly under Bwera Hospital and entebbe national isolation unit.
Intervention (pillars of MOH) i)community engagement pillar; Activate the community health support structure to create a base for community and Support for referral and linkage of suspected cases. Develop standardized CE tools on Mpox . Work with community pillar to orient stake holders at all levels on their roles in HBC for Mpox .
Strategic Information, Research and Innovation ( SIRI) pillar Dogotate the following tools from the case management pillar; Alert reporting form ; EMS, clinical care daily report form Mpox screening tool to be used at the entrance of facilities Support pillars to roll out digital tools for the response.
Support data management needs of the response including data quality . Data analytics and reporting,the data anlytics team constitutes and generates information polls
Risk communication pillar Printing information in different languages on the 23 +2 high risk districts Total materials are 165,600 and 207000 posters and flyers respectively . DHE’s virtual orientation for this week Ref; National Monkey pox situation report.